Active NPI
Blue Ridge Volunteer Rescue Squad Inc
- Ambulance
- Ararat, VA
National Provider Identifier
1699812495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 772
- Legal business name
- BLUE RIDGE VOLUNTEER RESCUE SQUAD INC
- Practice address
- 1961 Willis Gap Road
Ararat, VA 24053-3468 - Phone
- (276) 251-1850
- NPI assigned
- Jan 31, 2007
- Last updated
- Mar 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila C Marshall
- Title
- Rescue Squad Billing Representative
- Phone
- (276) 251-1850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 772 | VA | Primary |
Addresses
Primary practice location
1961 Willis Gap Road
Ararat, VA 24053-3468
Mailing address
759 The Hollow Road
Ararat, VA 24053-3468
Phone (276) 251-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070830000756 | VA | Part B Supplier - Ambulance Service Supplier | 7012000466 | Practice locations: Ararat, VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490832000000",
"number": "1699812495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 THE HOLLOW ROAD",
"city": "ARARAT",
"state": "VA",
"postal_code": "240533468",
"telephone_number": "276-251-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 WILLIS GAP ROAD",
"city": "ARARAT",
"state": "VA",
"postal_code": "240533468",
"telephone_number": "276-251-1850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE VOLUNTEER RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2017-03-30",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "RESCUE SQUAD BILLING REPRESENTATIVE",
"authorized_official_telephone_number": "276-251-1850"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ararat, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.